Summary Statement

A class incumbent investigates randomly selected claims to identify benefit errors and their causes so that corrective action can be taken.

Nature and Scope

A class incumbent performs with general supervision from the Unemployment Insurance Quality Control Supervisor and is responsible for validating unemployment benefits' eligibility criteria and the payment of benefits. This work involves performing a thorough investigation of randomly selected claims: auditing employer payroll records; interviewing claimants, schools, medical personnel, agencies and public officials to verify or obtain additional information; reviewing agency records; recalculating benefits; determining fraud or misinterpretation. The incumbent plans own schedule and conducts on site audits as far as 50 miles away. All findings are reviewed by the unit supervisor or data analyst; a percentage of the findings are also reviewed by federal regional office and the national office. The Quality Control Unit reviews a random sample of claims filed each year; however, the results are generalized to the entire population of unemployment claims.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

Knowledge, Skills and Abilities

The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.